trying to pay for a lot of this by cutting medicare is not the solution. you've got to rearrange medicare, there was a story in the new york times this past week what happens at ucla where they extend life no matter what the cost is, and it becomes well beyond what is reasonable medically. >> as we get older. >> get older. but for example, at ucla medical center, they spend $92,000 i think is the number on the last two years of a life at portland, oregon north of there they spend $52,000 because they have better controls on medicare. so until you begin to pay for value and performance, then health care reform is not going to work despite all of the pieces. >> here we are at the dawn of a new decade. a lot of talk about the old decade. there was a cartoon that caught my eye that shows uncle sam trying to return the first decade of this century to the returns and exchanges bureau and the lady says i'm sorry, sir, we have rules against returning entire decades. but doris, a lot made about the notion of this being a lost decade, lost opportunities, lost wealth